{"id":758,"date":"2022-09-19T06:13:17","date_gmt":"2022-09-19T06:13:17","guid":{"rendered":"https:\/\/incuna.asia\/share\/heart-survey\/?page_id=758"},"modified":"2026-06-11T14:12:39","modified_gmt":"2026-06-11T14:12:39","slug":"en-survey","status":"publish","type":"page","link":"https:\/\/www.vistahealth.co\/dengue-survey\/en-survey\/","title":{"rendered":"Dengue Survey Form"},"content":{"rendered":"<p>[et_pb_section admin_label=&#8221;section&#8221;]<br>\n\t\t\t[et_pb_row admin_label=&#8221;row&#8221;]<br>\n\t\t\t\t[et_pb_column type=&#8221;4_4&#8243;][et_pb_text admin_label=&#8221;Text&#8221;]<\/p>\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n<div class=\"wpforms-container wpforms-container-full sg-heart-survey\" id=\"wpforms-757\"><form id=\"wpforms-form-757\" class=\"wpforms-validate wpforms-form\" data-formid=\"757\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/dengue-survey\/wp-json\/wp\/v2\/pages\/758\" data-token=\"c6468be8b635ad19d0d667e4d4546661\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-page-indicator progress\" data-indicator=\"progress\" data-indicator-color=\"#72b239\" data-scroll=\"1\"><span class=\"wpforms-page-indicator-page-title\" ><\/span><span class=\"wpforms-page-indicator-page-title-sep\" style=\"display:none;\"> - <\/span><span class=\"wpforms-page-indicator-steps\">Step <span class=\"wpforms-page-indicator-steps-current\">1<\/span> of 5<\/span><div class=\"wpforms-page-indicator-page-progress-wrap\"><div class=\"wpforms-page-indicator-page-progress\" style=\"width:20%;background-color:#72b239;\"><\/div><\/div><\/div><div class=\"wpforms-field-container\"><div class=\"wpforms-page wpforms-page-1 \"><div id=\"wpforms-757-field_47-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"47\"><\/div><div id=\"wpforms-757-field_45-container\" class=\"wpforms-field wpforms-field-divider sg-heart-1\" data-field-id=\"45\"><h3 id=\"wpforms-757-field_45\" name=\"wpforms[fields][45]\">Please respond to the questions below by providing data in the respective cells or putting x in the respective cells (for multiple option questions).<\/h3><\/div><div id=\"wpforms-757-field_77-container\" class=\"wpforms-field wpforms-field-divider\" data-field-id=\"77\"><h3 id=\"wpforms-757-field_77\" name=\"wpforms[fields][77]\">Please elaborate on your responses as relevant. <\/h3><\/div><div id=\"wpforms-757-field_78-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"78\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_78\">Date of survey completion  <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-757-field_78\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][78][date]\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><div id=\"wpforms-757-field_79-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"79\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_79\">Respondent&#039;s title <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-757-field_79\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][79]\" required><\/div><div id=\"wpforms-757-field_86-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"86\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_86\">Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-757-field_86\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][86][first]\" required><label for=\"wpforms-757-field_86\" class=\"wpforms-field-sublabel after \">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-757-field_86-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][86][last]\" required><label for=\"wpforms-757-field_86-last\" class=\"wpforms-field-sublabel after \">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-757-field_81-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"81\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_81\">Institution \/ Hospital \/ Affiliation <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-757-field_81\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][81]\" required><\/div><div id=\"wpforms-757-field_82-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"82\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_82\">Job title\/ capacity <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-757-field_82\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][82]\" required><\/div><div id=\"wpforms-757-field_46-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"46\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"1\" data-formid=\"757\" disabled>Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-2  \" style=\"display:none;\"><div id=\"wpforms-757-field_12-container\" class=\"wpforms-field wpforms-field-divider sg-heart-1 sg-heart-line\" data-field-id=\"12\"><h3 id=\"wpforms-757-field_12\" name=\"wpforms[fields][12]\">Section 1<\/h3><\/div><div id=\"wpforms-757-field_88-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"88\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_88\">1. Who are the main stakeholders in the healthcare system related to infectious disease prevention and monitoring?  <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_88\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][88]\" required><\/textarea><\/div><div id=\"wpforms-757-field_89-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"89\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_89\">2. Who are the main stakeholders in the healthcare system related to vaccination programmes implementation and monitoring? <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_89\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][89]\" required><\/textarea><\/div><div id=\"wpforms-757-field_49-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"49\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev\" data-action=\"prev\" data-page=\"2\" data-formid=\"757\" disabled>Back<\/button><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"2\" data-formid=\"757\" disabled>Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-3  \" style=\"display:none;\"><div id=\"wpforms-757-field_16-container\" class=\"wpforms-field wpforms-field-divider sg-heart-1\" data-field-id=\"16\"><h3 id=\"wpforms-757-field_16\" name=\"wpforms[fields][16]\">Section 2<\/h3><\/div><div id=\"wpforms-757-field_41-container\" class=\"wpforms-field wpforms-field-html sg-video-form\" data-field-id=\"41\"><div id=\"wpforms-757-field_41\"><label class=\"label-title \"><span class=\"text\"><b>3. To the best of your knowledge, what is the current dengue epidemiological situation like in the Dominican Republic in the following aspects: \r\nPlease indicate the source of information where applicable\"<\/b><\/span><span class=\"required\">*<\/span><\/label><\/div><\/div><div id=\"wpforms-757-field_90-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"90\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_90\">3.i. Prevalence of dengue infection: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_90\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][90]\" required><\/textarea><\/div><div id=\"wpforms-757-field_93-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"93\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_93\">3.ii. Incidence of dengue infection: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_93\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][93]\" required><\/textarea><\/div><div id=\"wpforms-757-field_94-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"94\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_94\">3.iii. Prevalence of severe dengue: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_94\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][94]\" required><\/textarea><\/div><div id=\"wpforms-757-field_95-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"95\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_95\">3.iv. Incidence of severe dengue: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_95\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][95]\" required><\/textarea><\/div><div id=\"wpforms-757-field_96-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"96\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_96\">3.v. Hospitalisation rate due to dengue: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_96\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][96]\" required><\/textarea><\/div><div id=\"wpforms-757-field_97-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"97\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_97\">3.vi. Mortality rate due to dengue: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_97\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][97]\" required><\/textarea><\/div><div id=\"wpforms-757-field_98-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"98\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_98\">4. What provinces have reported the highest burden of dengue in the Dominican Republic?  <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_98\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][98]\" required><\/textarea><\/div><div id=\"wpforms-757-field_99-container\" class=\"wpforms-field wpforms-field-html sg-video-form\" data-field-id=\"99\"><div id=\"wpforms-757-field_99\"><label class=\"label-title \"><span class=\"text\"><b>5. To the best of your knowledge, what percentage of patients with dengue infection are receiving care in the public vs. the private healthcare system?<\/b><\/span><span class=\"required\">*<\/span><\/label><\/div><\/div><div id=\"wpforms-757-field_102-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"102\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_102\">5.i. % of patients with dengue infection who are receiving care in the public healthcare system: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-757-field_102\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][102]\" required><\/div><div id=\"wpforms-757-field_103-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"103\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_103\">5.ii. % of patients with dengue infection who are receiving care in the private healthcare system: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-757-field_103\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][103]\" required><\/div><div id=\"wpforms-757-field_104-container\" class=\"wpforms-field wpforms-field-html sg-video-form\" data-field-id=\"104\"><div id=\"wpforms-757-field_104\"><label class=\"label-title \"><span class=\"text\"><b>6. Is the distribution of patients the same for patients with dengue infections that require hospitalisation? If not, indicate accordingly below.<\/b><\/span><span class=\"required\">*<\/span><\/label><\/div><\/div><div id=\"wpforms-757-field_105-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"105\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_105\">6.i. % of patients with dengue infection who are hospitalised in the public hospitals: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-757-field_105\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][105]\" required><\/div><div id=\"wpforms-757-field_106-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"106\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_106\">6.ii. % of patients with dengue infection who are hospitalised in the private hospitals: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-757-field_106\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][106]\" required><\/div><div id=\"wpforms-757-field_107-container\" class=\"wpforms-field wpforms-field-html sg-video-form\" data-field-id=\"107\"><div id=\"wpforms-757-field_107\"><label class=\"label-title \"><span class=\"text\"><b>7. To the best of your knowledge, what percentage of patients with dengue infection are receiving care in primary care clinics (e.g. GP) vs. specialist clinics?<\/b><\/span><span class=\"required\">*<\/span><\/label><\/div><\/div><div id=\"wpforms-757-field_108-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"108\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_108\">7.i. % of patients with dengue infection who are receiving care in primary care clinics: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-757-field_108\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][108]\" required><\/div><div id=\"wpforms-757-field_109-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"109\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_109\">7.ii. % of patients with dengue infection who are receiving care in specialists clinics: <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" pattern=\"\\d*\" id=\"wpforms-757-field_109\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][109]\" required><\/div><div id=\"wpforms-757-field_112-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"112\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_112\">8. Are you aware of any epidemiological dengue-related studies \/real-world evidence studies \/registry studies being conducted in the Dominican Republic recently?  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_112\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_112_1\" name=\"wpforms[fields][112]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_112_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_112_2\" name=\"wpforms[fields][112]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_112_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_113-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"113\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_113\">8.i. If yes, please provide any publicly available details: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_113\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][113]\" required><\/textarea><\/div><div id=\"wpforms-757-field_114-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"114\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_114\">8.ii. What is the overall level of interest of researchers to participate in real-world evidence studies? <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_114\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][114]\" required><\/textarea><\/div><div id=\"wpforms-757-field_50-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"50\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev\" data-action=\"prev\" data-page=\"3\" data-formid=\"757\" disabled>Back<\/button><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"3\" data-formid=\"757\" disabled>Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-4  \" style=\"display:none;\"><div id=\"wpforms-757-field_22-container\" class=\"wpforms-field wpforms-field-divider sg-heart-1\" data-field-id=\"22\"><h3 id=\"wpforms-757-field_22\" name=\"wpforms[fields][22]\">Section 3<\/h3><\/div><div id=\"wpforms-757-field_23-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"23\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_23\">9. Were there any changes in the past  5 years in the Dominican Republic related to the following aspects?  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_23\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_23_1\" name=\"wpforms[fields][23]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_23_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_23_2\" name=\"wpforms[fields][23]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_23_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_115-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"115\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_115\">9.i. If yes, please specify: <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_115\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_115_1\" name=\"wpforms[fields][115]\" value=\"Dengue surveillance system\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_115_1\">Dengue surveillance system<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_115_2\" name=\"wpforms[fields][115]\" value=\"Laboratory testing procedures for dengue infection\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_115_2\">Laboratory testing procedures for dengue infection<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_115_3\" name=\"wpforms[fields][115]\" value=\"Dengue vector control measures\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_115_3\">Dengue vector control measures<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_115_4\" name=\"wpforms[fields][115]\" value=\"Dengue infection diagnosis criteria and classification  E.g. definition of dengue cases, severe cases\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_115_4\">Dengue infection diagnosis criteria and classification  E.g. definition of dengue cases, severe cases<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_116-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"116\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_116\">10. Are you aware of any planned future changes in the Dominican Republic related to the following aspects?  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_116\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_116_1\" name=\"wpforms[fields][116]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_116_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_116_2\" name=\"wpforms[fields][116]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_116_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_117-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"117\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_117\">10.i. If yes, please specify: <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_117\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_117_1\" name=\"wpforms[fields][117]\" value=\"Dengue surveillance system\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_117_1\">Dengue surveillance system<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_117_2\" name=\"wpforms[fields][117]\" value=\"Laboratory testing procedures for dengue infection\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_117_2\">Laboratory testing procedures for dengue infection<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_117_3\" name=\"wpforms[fields][117]\" value=\"Dengue vector control measures\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_117_3\">Dengue vector control measures<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_117_4\" name=\"wpforms[fields][117]\" value=\"Dengue infection diagnosis criteria and classification  E.g. definition of dengue cases, severe cases\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_117_4\">Dengue infection diagnosis criteria and classification  E.g. definition of dengue cases, severe cases<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_118-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"118\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_118\">11. Are you familiar with the Sistema Nacional de Vigilancia Epidemiol\u00f3gica (SINAVE) database? If yes, please fill in the fields below <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_118\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_118_1\" name=\"wpforms[fields][118]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_118_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_118_2\" name=\"wpforms[fields][118]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_118_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_120-container\" class=\"wpforms-field wpforms-field-html sg-video-form wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"120\" style=\"display:none;\"><div id=\"wpforms-757-field_120\"><label class=\"label-title \"><span class=\"text\"><b>If yes, please fill in the details below:<\/b><\/span><span class=\"required\">*<\/span><\/label><\/div><\/div><div id=\"wpforms-757-field_121-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"121\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_121\">11.i.i. What level data of is collected in this database?  E.g. national, regional, or hospital <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_121\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][121]\" required><\/textarea><\/div><div id=\"wpforms-757-field_122-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"122\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_122\">11.i.ii. What is the timeframe of data in this database?  E.g. from May 2005 to present, from 2010 to 2018 <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_122\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][122]\" required><\/textarea><\/div><div id=\"wpforms-757-field_123-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"123\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_123\">11.i.iii. What is the frequency of data entry? E.g. As and when cases are diagnosed and reported, once every 3 months <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_123\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][123]\" required><\/textarea><\/div><div id=\"wpforms-757-field_124-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"124\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_124\">11.i.iv. What is the methodology of data collection? E.g. extrapolate from EMR, direct HCP reporting, laboratory reporting <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_124\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][124]\" required><\/textarea><\/div><div id=\"wpforms-757-field_126-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"126\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_126\">11.i.v. Are you aware of any changes in the way cases are defined or data is being collected during the data availability period?  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_126\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_126_1\" name=\"wpforms[fields][126]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_126_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_126_2\" name=\"wpforms[fields][126]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_126_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_125-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"125\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_125\">11.i.v.i. If yes, please specify: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_125\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][125]\" required><\/textarea><\/div><div id=\"wpforms-757-field_127-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"127\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_127\">11.i.vi. What proportion of the population is covered by this database?  <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_127\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][127]\" required><\/textarea><\/div><div id=\"wpforms-757-field_128-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"128\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_128\">11.i.vii. Based on your judgement, how representative of the overall population is the data in this database?   (SELECT ONE AND ELABORATE) <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_128\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_128_1\" name=\"wpforms[fields][128]\" value=\"11.i.viii.i. Sufficiently representative\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_128_1\">11.i.viii.i. Sufficiently representative<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_128_2\" name=\"wpforms[fields][128]\" value=\"11.i.viii.ii. Somewhat representative\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_128_2\">11.i.viii.ii. Somewhat representative<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_128_3\" name=\"wpforms[fields][128]\" value=\"11.i.viii.iii. Not representative Please specify what these discrepancies are coming from E.g. private hospitals, certain regions, primary care clinics are less represented \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_128_3\">11.i.viii.iii. Not representative Please specify what these discrepancies are coming from E.g. private hospitals, certain regions, primary care clinics are less represented <\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_128_4\" name=\"wpforms[fields][128]\" value=\"11.i.viii.iv. Other, please specify:\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_128_4\">11.i.viii.iv. Other, please specify:<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_129-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"129\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_129\">11.i.vii.i. Please elaborate <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_129\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][129]\" required><\/textarea><\/div><div id=\"wpforms-757-field_130-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"130\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_130\">11.i.vii.ii. Please elaborate <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_130\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][130]\" required><\/textarea><\/div><div id=\"wpforms-757-field_131-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"131\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_131\">11.i.vii.iii. Please elaborate and specify what these discrepancies are coming from E.g. private hospitals, certain regions, primary care clinics are less represented  <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_131\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][131]\" required><\/textarea><\/div><div id=\"wpforms-757-field_132-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"132\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_132\">11.i.vii.iv. Please elaborate <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_132\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][132]\" required><\/textarea><\/div><div id=\"wpforms-757-field_133-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"133\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_133\">11.i.viii. What variables are collected within this database?  E.g. demographics, date of diagnosis, severity, hospitalisation <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_133\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][133]\" required><\/textarea><\/div><div id=\"wpforms-757-field_134-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"134\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_134\">11.i.ix. Based on your judgement, what percentage of data in this database is incorrect or missing? <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_134\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][134]\" required><\/textarea><\/div><div id=\"wpforms-757-field_135-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"135\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_135\">11.i.x. What is the time lag between data collection and data being available for analysis? E.g. April 2023 data will be reported in July 2023 and will be publicly available in September 2023 <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_135\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][135]\" required><\/textarea><\/div><div id=\"wpforms-757-field_136-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"136\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_136\">11.i.xi. Is it possible to link this database with any other database?   <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_136\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_136_1\" name=\"wpforms[fields][136]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_136_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_136_2\" name=\"wpforms[fields][136]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_136_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_137-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"137\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_137\">11.i.xi.i. If yes, please specify the database and how they can be linked <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_137\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][137]\" required><\/textarea><\/div><div id=\"wpforms-757-field_140-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"140\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_140\">11.i.xii. Would you recommend using this database for real-world studies? Please elaborate if needed <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_140\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][140]\" required><\/textarea><\/div><div id=\"wpforms-757-field_205-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"205\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_205\">11.i.xiii. Database is publicly accessible <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_205\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_205_1\" name=\"wpforms[fields][205]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_205_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_205_2\" name=\"wpforms[fields][205]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_205_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_206-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"206\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_206\">11.i.xiv. Database is accessible only via collaboration with academic institutions or hospitals <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_206\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_206_1\" name=\"wpforms[fields][206]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_206_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_206_2\" name=\"wpforms[fields][206]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_206_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_207-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"207\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_207\">11.i.xv. Database is NOT accessible for research sponsored by the pharmaceutical industry (even with collaboration) <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_207\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_207_1\" name=\"wpforms[fields][207]\" value=\"Is NOT\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_207_1\">Is NOT<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_207_2\" name=\"wpforms[fields][207]\" value=\"Is\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_207_2\">Is<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_208-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"208\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_208\">11.i.xvi. Access to the database requires approval from a public agency, such as MoH <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_208\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_208_1\" name=\"wpforms[fields][208]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_208_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_208_2\" name=\"wpforms[fields][208]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_208_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_209-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"209\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_209\">11.i.xvi.i. If yes, please specify the approval process and how long does it take to complete the application to gain access <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_209\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][209]\" required><\/textarea><\/div><div id=\"wpforms-757-field_210-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"210\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_210\">11.i.xvii. Access to the database does NOT require payment of an access fee <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_210\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_210_1\" name=\"wpforms[fields][210]\" value=\"Does NOT\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_210_1\">Does NOT<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_210_2\" name=\"wpforms[fields][210]\" value=\"Does\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_210_2\">Does<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_211-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"211\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_211\">11.i.xvii.i. If database does require payment, please specify the estimated amount or range of access fees: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_211\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][211]\" required><\/textarea><\/div><div id=\"wpforms-757-field_212-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"212\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_212\">11.i.xviii. Any other comments: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_212\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][212]\" required><\/textarea><\/div><div id=\"wpforms-757-field_214-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"214\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_214\">11.i.xix. Only a proportion of data is accessible <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_214\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_214_1\" name=\"wpforms[fields][214]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_214_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_214_2\" name=\"wpforms[fields][214]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_214_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_216-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"216\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_216\">11.i.xix.i. If yes, please specify: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_216\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][216]\" required><\/textarea><\/div><div id=\"wpforms-757-field_217-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"217\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_217\">11.i.xx. Only data from a limited timeframe is accessible <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_217\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_217_1\" name=\"wpforms[fields][217]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_217_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_217_2\" name=\"wpforms[fields][217]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_217_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_218-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"218\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_218\">11.i.xx.i. If yes, please specify <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_218\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][218]\" required><\/textarea><\/div><div id=\"wpforms-757-field_219-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"219\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_219\">11.i.xxi. Data cannot be transferred out of the institution \/database location and analysis must be run onsite <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_219\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_219_1\" name=\"wpforms[fields][219]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_219_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_219_2\" name=\"wpforms[fields][219]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_219_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_220-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"220\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_220\">11.i.xxi.i. If yes, please specify: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_220\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][220]\" required><\/textarea><\/div><div id=\"wpforms-757-field_296-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"296\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_296\">11.i.xxii. Data cannot be transferred out of the country and analysis must be run in the Dominican Republic. <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_296\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_296_1\" name=\"wpforms[fields][296]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_296_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_296_2\" name=\"wpforms[fields][296]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_296_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_297-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"297\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_297\">11.xxii.i. If yes, please specify:<\/label><textarea id=\"wpforms-757-field_297\" class=\"wpforms-field-medium\" name=\"wpforms[fields][297]\" ><\/textarea><\/div><div id=\"wpforms-757-field_221-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"221\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_221\">11.i.xxiii. If you know of any other limitations, please specify: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_221\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][221]\" required><\/textarea><\/div><div id=\"wpforms-757-field_222-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"222\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_222\">11.i.xxiv. Are there any limitations in the types of research that can be conducted with the data from this database?  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_222\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_222_1\" name=\"wpforms[fields][222]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_222_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_222_2\" name=\"wpforms[fields][222]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_222_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_223-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"223\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_223\">11.i.xxiv.i. If yes, please specify: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_223\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][223]\" required><\/textarea><\/div><div id=\"wpforms-757-field_224-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"224\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_224\">11.i.xxv. Are you aware of any recent examples of database studies in collaboration with \/sponsored by the pharmaceutical industry?  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_224\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_224_1\" name=\"wpforms[fields][224]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_224_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_224_2\" name=\"wpforms[fields][224]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_224_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_225-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"225\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_225\">11.i.xxv.i. If yes, please provide any publicly available details: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_225\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][225]\" required><\/textarea><\/div><div id=\"wpforms-757-field_141-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"141\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_141\">12. Are you aware of any other databases? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_141\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_141_1\" name=\"wpforms[fields][141]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_141_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_141_2\" name=\"wpforms[fields][141]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_141_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_142-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"142\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_142\">12.i. Database name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-757-field_142\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][142]\" required><\/div><div id=\"wpforms-757-field_158-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"158\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_158\">12.i.i. What level data of is collected in this database?  E.g. national, regional, or hospital <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_158\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][158]\" required><\/textarea><\/div><div id=\"wpforms-757-field_159-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"159\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_159\">12.i.ii. What is the timeframe of data in this database?  E.g. from May 2005 to present, from 2010 to 2018 <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_159\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][159]\" required><\/textarea><\/div><div id=\"wpforms-757-field_160-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"160\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_160\">12.i.iii. What is the frequency of data entry? E.g. As and when cases are diagnosed and reported, once every 3 months <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_160\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][160]\" required><\/textarea><\/div><div id=\"wpforms-757-field_161-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"161\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_161\">12.i.iv. What is the methodology of data collection? E.g. extrapolate from EMR, direct HCP reporting, laboratory reporting <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_161\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][161]\" required><\/textarea><\/div><div id=\"wpforms-757-field_164-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"164\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_164\">12.i.v. Are you aware of any changes in the way cases are defined or data is being collected during the data availability period? If yes, please specify <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_164\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_164_1\" name=\"wpforms[fields][164]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_164_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_164_2\" name=\"wpforms[fields][164]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_164_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_162-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"162\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_162\">12.i.v.i. If yes, please specify: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_162\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][162]\" required><\/textarea><\/div><div id=\"wpforms-757-field_163-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"163\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_163\">12.i.vi. What proportion of the population is covered by this database?  <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_163\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][163]\" required><\/textarea><\/div><div id=\"wpforms-757-field_165-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"165\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_165\">12.i.vii. Based on your judgement, how representative of the overall population is the data in this database?   (SELECT ONE AND ELABORATE) <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_165\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_165_1\" name=\"wpforms[fields][165]\" value=\"12.i.viii.i. Sufficiently representative\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_165_1\">12.i.viii.i. Sufficiently representative<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_165_2\" name=\"wpforms[fields][165]\" value=\"12.i.viii.ii. Somewhat representative\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_165_2\">12.i.viii.ii. Somewhat representative<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_165_3\" name=\"wpforms[fields][165]\" value=\"12.i.viii.iii. Not representative Please specify what these discrepancies are coming from E.g. private hospitals, certain regions, primary care clinics are less represented \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_165_3\">12.i.viii.iii. Not representative Please specify what these discrepancies are coming from E.g. private hospitals, certain regions, primary care clinics are less represented <\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_165_4\" name=\"wpforms[fields][165]\" value=\"12.i.viii.iv. Other, please specify:\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_165_4\">12.i.viii.iv. Other, please specify:<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_299-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"299\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_299\">12.i.vii.i.i Please elaborate: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_299\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][299]\" required><\/textarea><\/div><div id=\"wpforms-757-field_298-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"298\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_298\">12.i.vii.ii.i. Please elaborate: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_298\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][298]\" required><\/textarea><\/div><div id=\"wpforms-757-field_302-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"302\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_302\">12.i.vii.iii.i. Please elaborate: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_302\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][302]\" required><\/textarea><\/div><div id=\"wpforms-757-field_300-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"300\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_300\">12.i.vii.iv.i. Please elaborate: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_300\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][300]\" required><\/textarea><\/div><div id=\"wpforms-757-field_166-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"166\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_166\">12.i.viii. What variables are collected within this database?  E.g. demographics, date of diagnosis, severity, hospitalisation <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_166\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][166]\" required><\/textarea><\/div><div id=\"wpforms-757-field_167-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"167\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_167\">12.i.ix. Based on your judgement, what percentage of data in this database is incorrect or missing? <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_167\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][167]\" required><\/textarea><\/div><div id=\"wpforms-757-field_168-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"168\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_168\">12.i.x. What is the time lag between data collection and data being available for analysis? E.g. April 2023 data will be reported in July 2023 and will be publicly available in September 2023 <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_168\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][168]\" required><\/textarea><\/div><div id=\"wpforms-757-field_229-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"229\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_229\">12.i.xi. Is it possible to link this database with any other database? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_229\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_229_1\" name=\"wpforms[fields][229]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_229_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_229_2\" name=\"wpforms[fields][229]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_229_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_169-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"169\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_169\">12.i.xi.i. If yes, please specify the database and how they can be linked: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_169\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][169]\" required><\/textarea><\/div><div id=\"wpforms-757-field_170-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"170\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_170\">12.i.xii. Would you recommend using this database for real-world studies? Please elaborate if needed <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_170\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][170]\" required><\/textarea><\/div><div id=\"wpforms-757-field_226-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"226\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_226\">12.i.xiii. Database is publicly accessible <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_226\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_226_1\" name=\"wpforms[fields][226]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_226_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_226_2\" name=\"wpforms[fields][226]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_226_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_230-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"230\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_230\">12.i.xiv. Database is accessible only via collaboration with academic institutions or hospitals <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_230\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_230_1\" name=\"wpforms[fields][230]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_230_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_230_2\" name=\"wpforms[fields][230]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_230_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_232-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"232\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_232\">11.i.xv. Database is NOT accessible for research sponsored by the pharmaceutical industry (even with collaboration) <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_232\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_232_1\" name=\"wpforms[fields][232]\" value=\"Is NOT available\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_232_1\">Is NOT available<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_232_2\" name=\"wpforms[fields][232]\" value=\"Is available\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_232_2\">Is available<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_231-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"231\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_231\">12.i.xvi. Access to the database requires approval from a public agency, such as MoH <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_231\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_231_1\" name=\"wpforms[fields][231]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_231_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_231_2\" name=\"wpforms[fields][231]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_231_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_233-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"233\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_233\">12.i.xvi.i. If yes, please specify the approval process and how long does it take to complete the application to gain access <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_233\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][233]\" required><\/textarea><\/div><div id=\"wpforms-757-field_234-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"234\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_234\">12.i.xvii. Access to the database does NOT require payment of an access fee <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_234\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_234_1\" name=\"wpforms[fields][234]\" value=\"Does NOT\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_234_1\">Does NOT<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_234_2\" name=\"wpforms[fields][234]\" value=\"Does\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_234_2\">Does<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_237-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"237\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_237\">12.i.xvii.i. If database does require payment, please specify the estimated amount or range of access fees: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_237\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][237]\" required><\/textarea><\/div><div id=\"wpforms-757-field_238-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"238\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_238\">12.i.xviii. Any other comments: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_238\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][238]\" required><\/textarea><\/div><div id=\"wpforms-757-field_294-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"294\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_294\">12.i.xix. Only a proportion of data is accessible <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_294\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_294_1\" name=\"wpforms[fields][294]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_294_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_294_2\" name=\"wpforms[fields][294]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_294_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_295-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"295\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_295\">12.i.xix.i. If yes, please specify: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_295\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][295]\" required><\/textarea><\/div><div id=\"wpforms-757-field_239-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"239\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_239\">12.i.xx. Only data from a limited timeframe is accessible <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_239\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_239_1\" name=\"wpforms[fields][239]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_239_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_239_2\" name=\"wpforms[fields][239]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_239_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_240-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"240\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_240\">12.i.xx.i. If yes, please specify: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_240\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][240]\" required><\/textarea><\/div><div id=\"wpforms-757-field_241-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"241\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_241\">12.i.xxi. Data cannot be transferred out of the institution \/database location and analysis must be run onsite <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_241\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_241_1\" name=\"wpforms[fields][241]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_241_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_241_2\" name=\"wpforms[fields][241]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_241_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_242-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"242\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_242\">12.i.xxi.i. If yes, please specify: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_242\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][242]\" required><\/textarea><\/div><div id=\"wpforms-757-field_243-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"243\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_243\">12.i.xxii. Data cannot be transferred out of the country and analysis must be run in the Dominican Republic.  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_243\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_243_1\" name=\"wpforms[fields][243]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_243_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_243_2\" name=\"wpforms[fields][243]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_243_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_244-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"244\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_244\">12.i.xxii.i. If yes, please specify: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_244\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][244]\" required><\/textarea><\/div><div id=\"wpforms-757-field_245-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"245\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_245\">12.i.xxiii. If you know of any other limitations, please specify: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_245\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][245]\" required><\/textarea><\/div><div id=\"wpforms-757-field_246-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"246\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_246\">12.i.xxiv. Are there any limitations in the types of research that can be conducted with the data from this database?  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_246\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_246_1\" name=\"wpforms[fields][246]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_246_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_246_2\" name=\"wpforms[fields][246]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_246_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_247-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"247\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_247\">12.i.xxiv.i. If yes, please specify: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_247\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][247]\" required><\/textarea><\/div><div id=\"wpforms-757-field_248-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"248\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_248\">12.i.xxv. Are you aware of any recent examples of database studies in collaboration with \/sponsored by the pharmaceutical industry?  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_248\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_248_1\" name=\"wpforms[fields][248]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_248_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_248_2\" name=\"wpforms[fields][248]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_248_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_249-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"249\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_249\">12.i.xxv.i. If yes, please provide any publicly available details: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_249\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][249]\" required><\/textarea><\/div><div id=\"wpforms-757-field_171-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"171\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_171\">13. Are you aware of any other databases? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_171\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_171_1\" name=\"wpforms[fields][171]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_171_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_171_2\" name=\"wpforms[fields][171]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_171_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_172-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"172\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_172\">13.i. Database name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-757-field_172\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][172]\" required><\/div><div id=\"wpforms-757-field_173-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"173\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_173\">13.i.i. What level data of is collected in this database?  E.g. national, regional, or hospital <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_173\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][173]\" required><\/textarea><\/div><div id=\"wpforms-757-field_174-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"174\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_174\">13.i.ii What is the timeframe of data in this database?  E.g. from May 2005 to present, from 2010 to 2018 <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_174\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][174]\" required><\/textarea><\/div><div id=\"wpforms-757-field_175-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"175\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_175\">13.i.iii. What is the frequency of data entry? E.g. As and when cases are diagnosed and reported, once every 3 months <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_175\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][175]\" required><\/textarea><\/div><div id=\"wpforms-757-field_176-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"176\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_176\">13.i.iv. What is the methodology of data collection? E.g. extrapolate from EMR, direct HCP reporting, laboratory reporting <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_176\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][176]\" required><\/textarea><\/div><div id=\"wpforms-757-field_177-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"177\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_177\">13.i.v. Are you aware of any changes in the way cases are defined or data is being collected during the data availability period? If yes, please specify <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_177\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_177_1\" name=\"wpforms[fields][177]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_177_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_177_2\" name=\"wpforms[fields][177]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_177_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_178-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"178\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_178\">13.i.v.i. If yes, please specify: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_178\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][178]\" required><\/textarea><\/div><div id=\"wpforms-757-field_179-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"179\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_179\">13.i.vi. What proportion of the population is covered by this database?  <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_179\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][179]\" required><\/textarea><\/div><div id=\"wpforms-757-field_180-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"180\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_180\">13.i.vii. Based on your judgement, how representative of the overall population is the data in this database?   (SELECT ONE AND ELABORATE) <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_180\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_180_1\" name=\"wpforms[fields][180]\" value=\"13.i.viii.i. Sufficiently representative\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_180_1\">13.i.viii.i. Sufficiently representative<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_180_2\" name=\"wpforms[fields][180]\" value=\"13.i.viii.ii. Somewhat representative\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_180_2\">13.i.viii.ii. Somewhat representative<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_180_3\" name=\"wpforms[fields][180]\" value=\"13.i.viii.iii. Not representative Please specify what these discrepancies are coming from E.g. private hospitals, certain regions, primary care clinics are less represented \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_180_3\">13.i.viii.iii. Not representative Please specify what these discrepancies are coming from E.g. private hospitals, certain regions, primary care clinics are less represented <\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_180_4\" name=\"wpforms[fields][180]\" value=\"13.i.viii.iv. Other, please specify:\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_180_4\">13.i.viii.iv. Other, please specify:<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_306-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"306\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_306\">13.i.vii.i.i. Please elaborate: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_306\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][306]\" required><\/textarea><\/div><div id=\"wpforms-757-field_305-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"305\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_305\">13.i.vii.i.ii. Please elaborate: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_305\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][305]\" required><\/textarea><\/div><div id=\"wpforms-757-field_304-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"304\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_304\">13.i.vii.i.iii. Please elaborate: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_304\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][304]\" required><\/textarea><\/div><div id=\"wpforms-757-field_303-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"303\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_303\">13.i.vii.i.iv. Please elaborate: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_303\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][303]\" required><\/textarea><\/div><div id=\"wpforms-757-field_181-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"181\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_181\">13.i.viii. What variables are collected within this database?  E.g. demographics, date of diagnosis, severity, hospitalisation <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_181\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][181]\" required><\/textarea><\/div><div id=\"wpforms-757-field_182-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"182\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_182\">13.i.ix. Based on your judgement, what percentage of data in this database is incorrect or missing? <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_182\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][182]\" required><\/textarea><\/div><div id=\"wpforms-757-field_184-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"184\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_184\">13.i.x. What is the time lag between data collection and data being available for analysis? E.g. April 2023 data will be reported in July 2023 and will be publicly available in September 2023 <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_184\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][184]\" required><\/textarea><\/div><div id=\"wpforms-757-field_187-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"187\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_187\">13.i.xi. Is it possible to link this database with any other database?  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_187\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_187_1\" name=\"wpforms[fields][187]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_187_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_187_2\" name=\"wpforms[fields][187]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_187_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_186-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"186\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_186\">13.i.xi.i. If yes, please specify the database and how they can be linked <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_186\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][186]\" required><\/textarea><\/div><div id=\"wpforms-757-field_188-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"188\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_188\">13.i.xii. Would you recommend using this database for real-world studies? Please elaborate if needed <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_188\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][188]\" required><\/textarea><\/div><div id=\"wpforms-757-field_227-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"227\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_227\">13.i.xiii. Database is publicly accessible <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_227\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_227_1\" name=\"wpforms[fields][227]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_227_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_227_2\" name=\"wpforms[fields][227]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_227_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_250-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"250\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_250\">13.i.xiv. Database is accessible only via collaboration with academic institutions or hospitals <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_250\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_250_1\" name=\"wpforms[fields][250]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_250_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_250_2\" name=\"wpforms[fields][250]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_250_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_251-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"251\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_251\">13.i.xv. Database is NOT accessible for research sponsored by the pharmaceutical industry (even with collaboration) <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_251\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_251_1\" name=\"wpforms[fields][251]\" value=\"It NOT available\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_251_1\">It NOT available<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_251_2\" name=\"wpforms[fields][251]\" value=\"Is available\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_251_2\">Is available<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_252-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"252\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_252\">13.i.xvi. Access to the database requires approval from a public agency, such as MoH <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_252\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_252_1\" name=\"wpforms[fields][252]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_252_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_252_2\" name=\"wpforms[fields][252]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_252_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_253-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"253\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_253\">13.i.xvi.i. If yes, please specify the approval process and how long does it take to complete the application to gain access <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_253\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][253]\" required><\/textarea><\/div><div id=\"wpforms-757-field_254-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"254\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_254\">13.i.xvii. Access to the database does NOT require payment of an access fee <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_254\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_254_1\" name=\"wpforms[fields][254]\" value=\"Does NOT\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_254_1\">Does NOT<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_254_2\" name=\"wpforms[fields][254]\" value=\"Does\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_254_2\">Does<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_256-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"256\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_256\">13.i.xvii.i. If database does require payment, please specify the estimated amount or range of access fees: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_256\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][256]\" required><\/textarea><\/div><div id=\"wpforms-757-field_255-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"255\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_255\">13.i.xviii. Any other comments: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_255\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][255]\" required><\/textarea><\/div><div id=\"wpforms-757-field_292-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"292\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_292\">13.i.xix. Only a proportion of data is accessible. <\/label><ul id=\"wpforms-757-field_292\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_292_1\" name=\"wpforms[fields][292]\" value=\"Yes\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_292_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_292_2\" name=\"wpforms[fields][292]\" value=\"No\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_292_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_258-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"258\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_258\">13.i.xix.i. If yes, please specify: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_258\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][258]\" required><\/textarea><\/div><div id=\"wpforms-757-field_257-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"257\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_257\">13.i.xx. Only data from a limited timeframe is accessible <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_257\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_257_1\" name=\"wpforms[fields][257]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_257_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_257_2\" name=\"wpforms[fields][257]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_257_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_293-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"293\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_293\">13.i.xx.i. If yes, please specify: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_293\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][293]\" required><\/textarea><\/div><div id=\"wpforms-757-field_259-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"259\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_259\">13.i.xxi. Data cannot be transferred out of the institution \/database location and analysis must be run onsite <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_259\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_259_1\" name=\"wpforms[fields][259]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_259_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_259_2\" name=\"wpforms[fields][259]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_259_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_260-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"260\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_260\">13.i.xxi.i. If yes, please specify: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_260\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][260]\" required><\/textarea><\/div><div id=\"wpforms-757-field_261-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"261\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_261\">13.i.xxii. Data cannot be transferred out of the country and analysis must be run in the Dominican Republic <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_261\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_261_1\" name=\"wpforms[fields][261]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_261_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_261_2\" name=\"wpforms[fields][261]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_261_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_262-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"262\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_262\">13.i.xxii.i. If yes, please specify: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_262\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][262]\" required><\/textarea><\/div><div id=\"wpforms-757-field_263-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"263\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_263\">13.i.xxiii. If you know of any other limitations, please specify: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_263\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][263]\" required><\/textarea><\/div><div id=\"wpforms-757-field_264-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"264\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_264\">13.i.xxiv. Are there any limitations in the types of research that can be conducted with the data from this database?  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_264\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_264_1\" name=\"wpforms[fields][264]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_264_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_264_2\" name=\"wpforms[fields][264]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_264_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_265-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"265\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_265\">13.i.xxiv.i. If yes, please specify: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_265\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][265]\" required><\/textarea><\/div><div id=\"wpforms-757-field_267-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"267\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_267\">13.i.xxv. Are you aware of any recent examples of database studies in collaboration with \/sponsored by the pharmaceutical industry?  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_267\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_267_1\" name=\"wpforms[fields][267]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_267_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_267_2\" name=\"wpforms[fields][267]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_267_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_268-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"268\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_268\">13.i.xxv.i. If yes, please provide any publicly available details: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_268\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][268]\" required><\/textarea><\/div><div id=\"wpforms-757-field_189-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"189\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_189\">14. Are you aware of any other databases? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_189\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_189_1\" name=\"wpforms[fields][189]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_189_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_189_2\" name=\"wpforms[fields][189]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_189_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_190-container\" class=\"wpforms-field wpforms-field-text wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"190\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_190\">14.i. Database name <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-757-field_190\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][190]\" required><\/div><div id=\"wpforms-757-field_191-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"191\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_191\">14.i.i. What level data of is collected in this database?  E.g. national, regional, or hospital <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_191\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][191]\" required><\/textarea><\/div><div id=\"wpforms-757-field_192-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"192\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_192\">14.i.ii. What is the timeframe of data in this database?  E.g. from May 2005 to present, from 2010 to 2018 <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_192\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][192]\" required><\/textarea><\/div><div id=\"wpforms-757-field_193-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"193\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_193\">14.i.iii. What is the frequency of data entry? E.g. As and when cases are diagnosed and reported, once every 3 months <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_193\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][193]\" required><\/textarea><\/div><div id=\"wpforms-757-field_194-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"194\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_194\">14.i.iv. What is the methodology of data collection? E.g. extrapolate from EMR, direct HCP reporting, laboratory reporting <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_194\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][194]\" required><\/textarea><\/div><div id=\"wpforms-757-field_195-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"195\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_195\">14.i.v. Are you aware of any changes in the way cases are defined or data is being collected during the data availability period? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_195\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_195_1\" name=\"wpforms[fields][195]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_195_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_195_2\" name=\"wpforms[fields][195]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_195_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_196-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"196\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_196\">14.i.v.i. If yes, please specify: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_196\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][196]\" required><\/textarea><\/div><div id=\"wpforms-757-field_197-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"197\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_197\">14.i.vi. What proportion of the population is covered by this database? <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_197\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][197]\" required><\/textarea><\/div><div id=\"wpforms-757-field_198-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"198\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_198\">14.i.vii. Based on your judgement, how representative of the overall population is the data in this database?   (SELECT ONE AND ELABORATE) <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_198\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_198_1\" name=\"wpforms[fields][198]\" value=\"14.i.viii.i. Sufficiently representative\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_198_1\">14.i.viii.i. Sufficiently representative<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_198_2\" name=\"wpforms[fields][198]\" value=\"14.i.viii.ii. Somewhat representative\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_198_2\">14.i.viii.ii. Somewhat representative<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_198_3\" name=\"wpforms[fields][198]\" value=\"14.i.viii.iii. Not representative Please specify what these discrepancies are coming from E.g. private hospitals, certain regions, primary care clinics are less represented \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_198_3\">14.i.viii.iii. Not representative Please specify what these discrepancies are coming from E.g. private hospitals, certain regions, primary care clinics are less represented <\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_198_4\" name=\"wpforms[fields][198]\" value=\"14.i.viii.iv. Other, please specify:\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_198_4\">14.i.viii.iv. Other, please specify:<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_310-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"310\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_310\">14.i.viii.i.i. Please elaborate: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_310\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][310]\" required><\/textarea><\/div><div id=\"wpforms-757-field_309-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"309\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_309\">14.i.viii.i.ii. Please elaborate: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_309\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][309]\" required><\/textarea><\/div><div id=\"wpforms-757-field_308-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"308\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_308\">14.i.viii.i.iii. Please elaborate: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_308\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][308]\" required><\/textarea><\/div><div id=\"wpforms-757-field_307-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"307\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_307\">14.i.viii.i.i. Please elaborate: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_307\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][307]\" required><\/textarea><\/div><div id=\"wpforms-757-field_199-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"199\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_199\">14.i.viii. What variables are collected within this database?  E.g. demographics, date of diagnosis, severity, hospitalisation <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_199\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][199]\" required><\/textarea><\/div><div id=\"wpforms-757-field_200-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"200\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_200\">14.i.ix. Based on your judgement, what percentage of data in this database is incorrect or missing? <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_200\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][200]\" required><\/textarea><\/div><div id=\"wpforms-757-field_201-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"201\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_201\">14.i.x. What is the time lag between data collection and data being available for analysis? E.g. April 2023 data will be reported in July 2023 and will be publicly available in September 2023 <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_201\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][201]\" required><\/textarea><\/div><div id=\"wpforms-757-field_203-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"203\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_203\">14.i.xi. Is it possible to link this database with any other database? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_203\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_203_1\" name=\"wpforms[fields][203]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_203_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_203_2\" name=\"wpforms[fields][203]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_203_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_202-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"202\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_202\">14.i.xi.i. If yes, please specify the database and how they can be linked: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_202\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][202]\" required><\/textarea><\/div><div id=\"wpforms-757-field_204-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"204\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_204\">14.i.xii. Would you recommend using this database for real-world studies? Please elaborate if needed <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_204\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][204]\" required><\/textarea><\/div><div id=\"wpforms-757-field_228-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"228\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_228\">14.i.xiii. Database is publicly accessible <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_228\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_228_1\" name=\"wpforms[fields][228]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_228_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_228_2\" name=\"wpforms[fields][228]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_228_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_272-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"272\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_272\">14.i.xiv. Database is accessible only via collaboration with academic institutions or hospitals <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_272\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_272_1\" name=\"wpforms[fields][272]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_272_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_272_2\" name=\"wpforms[fields][272]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_272_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_271-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"271\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_271\">14.i.xv. Database is NOT accessible for research sponsored by the pharmaceutical industry (even with collaboration) <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_271\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_271_1\" name=\"wpforms[fields][271]\" value=\"Is NOT available\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_271_1\">Is NOT available<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_271_2\" name=\"wpforms[fields][271]\" value=\"Is available \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_271_2\">Is available <\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_270-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"270\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_270\">14.i.xvi. Access to the database requires approval from a public agency, such as MoH <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_270\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_270_1\" name=\"wpforms[fields][270]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_270_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_270_2\" name=\"wpforms[fields][270]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_270_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_273-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"273\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_273\">14.i.xvi.i. If yes, please specify the approval process and how long does it take to complete the application to gain access <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_273\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][273]\" required><\/textarea><\/div><div id=\"wpforms-757-field_274-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"274\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_274\">14.i.xvii. Access to the database does NOT require payment of an access fee <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_274\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_274_1\" name=\"wpforms[fields][274]\" value=\"Does NOT\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_274_1\">Does NOT<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_274_2\" name=\"wpforms[fields][274]\" value=\"Does\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_274_2\">Does<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_275-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"275\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_275\">14.i.xvii.i. If database does require payment, please specify the estimated amount or range of access fees: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_275\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][275]\" required><\/textarea><\/div><div id=\"wpforms-757-field_276-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"276\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_276\">14.i.xviii. Any other comments: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_276\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][276]\" required><\/textarea><\/div><div id=\"wpforms-757-field_311-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"311\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_311\">14.i.xix. Only a proportion of data is accessible <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_311\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_311_1\" name=\"wpforms[fields][311]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_311_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_311_2\" name=\"wpforms[fields][311]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_311_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_312-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"312\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_312\">14.i.xix.i. If yes, please specify: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_312\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][312]\" required><\/textarea><\/div><div id=\"wpforms-757-field_277-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"277\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_277\">14.i.xx. Only data from a limited timeframe is accessible <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_277\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_277_1\" name=\"wpforms[fields][277]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_277_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_277_2\" name=\"wpforms[fields][277]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_277_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_278-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"278\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_278\">14.i.xx.i. If yes, please specify: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_278\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][278]\" required><\/textarea><\/div><div id=\"wpforms-757-field_279-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"279\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_279\">14.i.xxi. Data cannot be transferred out of the institution \/database location and analysis must be run onsite <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_279\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_279_1\" name=\"wpforms[fields][279]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_279_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_279_2\" name=\"wpforms[fields][279]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_279_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_280-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"280\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_280\">14.i.xxi.i. If yes, please specify <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_280\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][280]\" required><\/textarea><\/div><div id=\"wpforms-757-field_281-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"281\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_281\">14.i.xxii. Data cannot be transferred out of the country and analysis must be run in the Dominican Republic <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_281\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_281_1\" name=\"wpforms[fields][281]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_281_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_281_2\" name=\"wpforms[fields][281]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_281_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_283-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"283\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_283\">14.i.xxii.i. If yes, please specify: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_283\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][283]\" required><\/textarea><\/div><div id=\"wpforms-757-field_282-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"282\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_282\">14.i.xxiii. If you know of any other limitations, please specify: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_282\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][282]\" required><\/textarea><\/div><div id=\"wpforms-757-field_284-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"284\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_284\">14.i.xxiv. Are there any limitations in the types of research that can be conducted with the data from this database?  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_284\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_284_1\" name=\"wpforms[fields][284]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_284_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_284_2\" name=\"wpforms[fields][284]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_284_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_285-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"285\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_285\">14.i.xxiv.i. If yes, please specify: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_285\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][285]\" required><\/textarea><\/div><div id=\"wpforms-757-field_286-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-id=\"286\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_286\">14.i.xxv. Are you aware of any recent examples of database studies in collaboration with \/sponsored by the pharmaceutical industry?  <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_286\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_286_1\" name=\"wpforms[fields][286]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_286_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_286_2\" name=\"wpforms[fields][286]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_286_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_287-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"287\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_287\">14.i.xxv.i. If yes, please provide any publicly available details: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_287\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][287]\" required><\/textarea><\/div><div id=\"wpforms-757-field_51-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"51\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev\" data-action=\"prev\" data-page=\"4\" data-formid=\"757\" disabled>Back<\/button><button class=\"wpforms-page-button wpforms-page-next\" data-action=\"next\" data-page=\"4\" data-formid=\"757\" disabled>Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-5 last \" style=\"display:none;\"><div id=\"wpforms-757-field_26-container\" class=\"wpforms-field wpforms-field-divider sg-heart-1\" data-field-id=\"26\"><h3 id=\"wpforms-757-field_26\" name=\"wpforms[fields][26]\">Section 4<\/h3><\/div><div id=\"wpforms-757-field_27-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"27\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_27\">15. Based on your understanding, which of the following describes the perceptions and acceptance of the general public towards vaccination most accurately in the Dominican Republic? (SELECT ONE) <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_27\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_27_1\" name=\"wpforms[fields][27]\" value=\"The majority of the general public has high acceptance of vaccination \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_27_1\">The majority of the general public has high acceptance of vaccination <\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_27_2\" name=\"wpforms[fields][27]\" value=\"There are mixed opinions towards vaccination\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_27_2\">There are mixed opinions towards vaccination<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_27_3\" name=\"wpforms[fields][27]\" value=\"Only a small proportion of the general public has a high acceptance towards vaccination \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_27_3\">Only a small proportion of the general public has a high acceptance towards vaccination <\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_28-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"28\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_28\">16. Does that differ in any way for vaccines that are not included in the national immunisation programme (NIP)? (SELECT ONE) <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_28\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_28_1\" name=\"wpforms[fields][28]\" value=\"No \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_28_1\">No <\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_28_2\" name=\"wpforms[fields][28]\" value=\"Yes, vaccines that are not included in the NIP are LESS likely to be accepted by the general public\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_28_2\">Yes, vaccines that are not included in the NIP are LESS likely to be accepted by the general public<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_28_3\" name=\"wpforms[fields][28]\" value=\"Yes, vaccines that are not included in the NIP are MORE likely to be accepted by the general public\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_28_3\">Yes, vaccines that are not included in the NIP are MORE likely to be accepted by the general public<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_28_4\" name=\"wpforms[fields][28]\" value=\"Other\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_28_4\">Other<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_288-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"288\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_288\">16.i. If other, please elaborate:  <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_288\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][288]\" required><\/textarea><\/div><div id=\"wpforms-757-field_29-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"29\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_29\">17. Does that differ in any way for the vaccines that are indicated for children vs. adolescents vs. adults? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_29\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_29_1\" name=\"wpforms[fields][29]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_29_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_29_2\" name=\"wpforms[fields][29]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_29_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_289-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"289\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_289\">17.i. If yes, please specify <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_289\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][289]\" required><\/textarea><\/div><div id=\"wpforms-757-field_290-container\" class=\"wpforms-field wpforms-field-radio wpforms-conditional-trigger\" data-field-id=\"290\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_290\">18. What are some of the potential barriers when rolling out a new vaccine that could limit the robust generation of real-world evidence? (SELECT ALL THAT APPLY AND ELABORATE) <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-757-field_290\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_290_1\" name=\"wpforms[fields][290]\" value=\"Cultural or religious beliefs\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_290_1\">Cultural or religious beliefs<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_290_2\" name=\"wpforms[fields][290]\" value=\"Lack of available information on the efficacy and safety of the vaccine from reliable sources\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_290_2\">Lack of available information on the efficacy and safety of the vaccine from reliable sources<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_290_3\" name=\"wpforms[fields][290]\" value=\"Cost barriers when the vaccine is not reimbursed\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_290_3\">Cost barriers when the vaccine is not reimbursed<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_290_4\" name=\"wpforms[fields][290]\" value=\"Access to vaccination centers\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_290_4\">Access to vaccination centers<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-757-field_290_5\" name=\"wpforms[fields][290]\" value=\"Others\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-757-field_290_5\">Others<\/label><\/li><\/ul><\/div><div id=\"wpforms-757-field_291-container\" class=\"wpforms-field wpforms-field-textarea wpforms-conditional-field wpforms-conditional-show\" data-field-id=\"291\" style=\"display:none;\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_291\">If others, please specify: <span class=\"wpforms-required-label\">*<\/span><\/label><textarea id=\"wpforms-757-field_291\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][291]\" required><\/textarea><\/div><div id=\"wpforms-757-field_301-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"301\"><label class=\"wpforms-field-label\" for=\"wpforms-757-field_301\">Paragraph Text<\/label><textarea id=\"wpforms-757-field_301\" class=\"wpforms-field-medium\" name=\"wpforms[fields][301]\" ><\/textarea><\/div><div id=\"wpforms-757-field_48-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"48\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-prev\" data-action=\"prev\" data-page=\"5\" data-formid=\"757\" disabled>Back<\/button><\/div><\/div><\/div><\/div><div class=\"wpforms-submit-container\" style=\"display:none;\"><input type=\"hidden\" name=\"wpforms[id]\" value=\"757\"><input type=\"hidden\" name=\"wpforms[author]\" value=\"1\"><button type=\"submit\" name=\"wpforms[submit]\" class=\"wpforms-submit \" id=\"wpforms-submit-757\" value=\"wpforms-submit\" aria-live=\"assertive\" data-alt-text=\"Sending\u2026\" data-submit-text=\"Submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->\n\n\n<p>[\/et_pb_text][\/et_pb_column]<br>\n\t\t\t[\/et_pb_row]<br>\n\t\t[\/et_pb_section]<\/p>\n\n\n<div style=\"position: fixed; top: -4568px; left: -4039px;\"><p>Al de eerste minuten op <a href='https:\/\/luckicasino-nl.com'>https:\/\/luckicasino-nl.com<\/a> maken duidelijk hoeveel zorg in het totaalpakket is gestoken. Verjaardagsbonussen zorgen voor een persoonlijke ervaring en worden door veel gebruikers gewaardeerd. Een cookiebanner informeert transparant over het gebruik van tracking-technologie. De mobiele zoekfunctie vindt elk spel binnen enkele seconden. Een eigen sectie is gereserveerd voor exclusieve premium-merken met bijzondere titels. Innovatieve game-show-wheel formats trekken veel nieuwe spelers naar de live sectie. Animaties worden subtiel ingezet en dragen bij aan de coherente sfeer. Apple Pay en Google Pay bedekken de mobiele betaalwereld volledig. Quest-systemen integreren spelmatige elementen in de normale casinobeleving. Zowel visueel als functioneel behoort het casino tot de volwassen adressen op de markt.<\/p><\/div>\n","protected":false},"excerpt":{"rendered":"<p>[et_pb_section admin_label=&#8221;section&#8221;] [et_pb_row admin_label=&#8221;row&#8221;] [et_pb_column type=&#8221;4_4&#8243;][et_pb_text admin_label=&#8221;Text&#8221;] [\/et_pb_text][\/et_pb_column] [\/et_pb_row] [\/et_pb_section] Al de eerste minuten op https:\/\/luckicasino-nl.com maken duidelijk hoeveel zorg in het totaalpakket is gestoken. Verjaardagsbonussen zorgen voor een persoonlijke ervaring en worden door veel gebruikers gewaardeerd. Een cookiebanner informeert transparant over het gebruik van tracking-technologie. De mobiele zoekfunctie vindt elk spel binnen enkele seconden. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"<!-- wp:paragraph -->\n<p><\/p>\n<!-- \/wp:paragraph -->\n\n<!-- wp:shortcode -->\n[wpforms id=\"757\" title=\"false\" description=\"false\"]\n<!-- \/wp:shortcode -->","_et_gb_content_width":"1080","footnotes":""},"class_list":["post-758","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.vistahealth.co\/dengue-survey\/wp-json\/wp\/v2\/pages\/758","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.vistahealth.co\/dengue-survey\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.vistahealth.co\/dengue-survey\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.vistahealth.co\/dengue-survey\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.vistahealth.co\/dengue-survey\/wp-json\/wp\/v2\/comments?post=758"}],"version-history":[{"count":8,"href":"https:\/\/www.vistahealth.co\/dengue-survey\/wp-json\/wp\/v2\/pages\/758\/revisions"}],"predecessor-version":[{"id":918,"href":"https:\/\/www.vistahealth.co\/dengue-survey\/wp-json\/wp\/v2\/pages\/758\/revisions\/918"}],"wp:attachment":[{"href":"https:\/\/www.vistahealth.co\/dengue-survey\/wp-json\/wp\/v2\/media?parent=758"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}